| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERITAIN HEALTH3 | PO BOX 223894 PITTSBURGH, PA 152502894 | HCC LIFE INSURANCE COMPANY | $4K | — | $4K | 0.84% |
| BRIGGS, EDWARD C | 300 S WACKER SUITE 1000 CHICAGO, IL 60606 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 14.98% |
| BRIGGS, EDWARD C | 300 S WACKER SUITE 1000 CHICAGO, IL 60606 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 20.00% |
| KAMM INSURANCE GROUP3 Filed as: KAMM INSURANCE GROUP INC | 7N024 MEDINAH RD MEDINAH, IL 60157 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| KAMM INSURANCE GROUP3 Filed as: KAMM INSURANCE GROUP INC | 7N024 MEDINAH RD MEDINAH, IL 60157 | UNITED OF OMAHA LIFE INSURNCE COMPANY | $1K | — | $1K | 15.00% |
| KAMM INSURANCE GROUP3 Filed as: KAMM INSURANCE GROUP INC | 7N024 MEDINAH RD MEDINAH, IL 60157 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $61 | — | $61 | 14.91% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 204 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HCC LIFE INSURANCE COMPANY | 204 | $448K |
| Dental | HCC LIFE INSURANCE COMPANY | 204 | $448K |
| Vision | HCC LIFE INSURANCE COMPANY | 204 | $448K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 101 | $60K |
| Short-term disability(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 261 | $88K |
| Long-term disability | UNITED OF OMAHA LIFE INSURNCE COMPANY | 278 | $10K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 204 | $448K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 278 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
No prospect flags tripped on this filing.